Provider Demographics
NPI:1174685861
Name:CHOW, DANIEL WAI-KEUNG (DDS,MAGD,FIAO,PLLC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:WAI-KEUNG
Last Name:CHOW
Suffix:
Gender:M
Credentials:DDS,MAGD,FIAO,PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E 40TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1801
Mailing Address - Country:US
Mailing Address - Phone:212-683-8288
Mailing Address - Fax:212-683-4621
Practice Address - Street 1:110 E 40TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1801
Practice Address - Country:US
Practice Address - Phone:212-683-8288
Practice Address - Fax:212-683-4621
Is Sole Proprietor?:No
Enumeration Date:2006-12-16
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0422511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice